decarboxylase may occur through formation of an inhibitor of the
enzyme during the oxidation of uroporphyrinogen (Rios de Molina et
al., 1980; Smith & De Matteis, 1990). HCB may act partly through
induction and uncoupling of the cytochrome P-450 system to form
reactive oxygen species, especially in the presence of an increased
available iron pool (Smith & De Matteis, 1990; Den Besten et al.,
1993).
Subchronic exposure to low doses of HCB has also caused changes
in calcium homoeostasis and bone morphometry. Male Fischer-344 rats
administered HCB by gavage in corn oil had elevated serum levels of
1,25-dihydroxy-vitamin-D3 and reduced calcium excretion after 5
weeks, and increased femur density, weight and strength after 15
weeks. These effects were evident at 0.7 mg/kg body weight per day but
not at 0.07 mg/kg body weight per day (Andrews et al., 1989, 1990).
While technical HCB is known to be contaminated with chlorinated
dibenzo- p-dioxins, dibenzofurans and biphenyls (Villanueva et al.,
1974; Goldstein et al., 1978), the effects (primarily hepatic) of
subchronic dietary exposure of rats to either pure or technical HCB
were virtually identical, indicating that the effects observed in this
study were due to the parent compound (Goldstein et al., 1978).
In a number of studies on various strains of rats, short-term or
subchronic exposure to HCB affected the thyroid, as indicated by
decreased serum levels of total and free thyroxine (T4) and often, to
a lesser extent, triiodothyronine (T3). In some instances, these are
accompanied by compensatory increases in thyroid weight, circulating
levels of thyroid-stimulating hormone or iodine uptake by the thyroid
(Rozman et al., 1986; Kleiman de Pisarev et al., 1989, 1990; Van Raaij
et al., 1991a, 1993a, 1993b; Foster et al., 1993; Den Besten et al.,
1993; Sopena de Krakoff et al., 1994). Den Besten et al. (1993)
reported such effects in rats exposed to as little as 9.5 mg/kg body
weight per day following dietary exposures for 13 weeks, although
effect levels were somewhat higher in other studies, which involved
exposure for a shorter duration and/or employed an aqueous vehicle.
Somewhat different effects (decreased levels of T3 in serum and no
change in T4, accompanied by increased uptake of iodine by the
thyroid) were observed in hamsters exposed to 100-200 mg HCB/kg feed
(approximately 12-24 mg/kg body weight per day) for 18-28 weeks (Smith
et al., 1987).
The mechanisms that have been advanced to account for the effects
of HCB on the thyroid include accelerated metabolism of thyroid
hormones by HCB-induced enzymes or accelerated deiodination of
thyroxine, in conjunction with increased biliary excretion (Kleiman de
Pisarev, 1989; Van Raaij et al., 1993b), and interference with plasma
transport of thyroid hormones through displacement of T4 from binding
sites on proteins (Van Raaij et al., 1991a, 1993a). Van Raaij et al.
(1991b, 1993a) reported that intraperitoneal injection of
pentachlorophenol and tetrachlorohydroquinone, but not HCB itself,
decreased serum thyroxine levels in rats, indicating that these
metabolites may be involved in the effects of HCB on the thyroid.
These authors reported that PCP was a more effective competitor for
thyroxine-binding sites of serum carriers in vitro, and more
effective at occupying carrier sites in ex vivo experiments, than
HCB (van Raaij et al., 1991a), and demonstrated that T4 binding sites
were partially occupied in the serum of rats exposed to HCB (Van Raaij
et al., 1993a). In the latter study, it was estimated that competition
for thyroid hormone binding sites, by PCP metabolized from HCB, could
account for almost half of the observed reduction in serum levels of
T4.
7.3 Long-term toxicity and carcinogenicity
A range of non-neoplastic effects from long-term exposure to HCB,
which are primarily hepatotoxic, have been observed at relatively low
doses. In a two-generation study with Sprague-Dawley rats, liver and
heart weights were increased in Fo males exposed to TWA doses of 0.29
and 1.50 mg/kg body weight per day in the diet for 3 months, and
histopathological changes in the liver were observed in F1 animals of
both sexes exposed to maternal doses of 0.29-0.38 and 1.50-1.90 mg
HCB/kg body weight per day in diet in utero, through nursing, and
then continued on the same diet as their parents for their lifetimes.
The no-effect level in this study was 0.06-0.07 mg/kg body weight per
day (Arnold et al., 1985; Arnold & Krewski, 1988). Dietary exposures
of Sprague-Dawley rats to 10 mg/kg and above (approximately 0.5-0.6
mg/kg body weight per day) for 9-10 months induced in vivo mixed-
function oxidase activity, as indicated by reductions in drug-induced
sleeping times (Grant et al., 1974). Exposure of Sprague-Dawley rats
to 5 mg HCB/kg in diet (approximately 0.25-0.30 mg/kg body weight per
day) for 3-12 months caused proliferation of smooth endoplasmic
reticulum, altered mitochondria and increased numbers of storage
vesicles in liver, but these effects were not evident at 1 mg/kg in
diet (approximately 0.05-0.06 mg/kg body weight per day) (Mollenhauer
et al., 1975; 1976). In a study by Böger et al. (1979), oral
administration of 2, 8 or 32 mg HCB to female Wistar rats twice weekly
for 203 days (0.57, 2.3 or 9.1 mg HCB/kg body weight per day) resulted
in hepatocellular enlargement, proliferated smooth endoplasmic
reticulum, increased glycogen and porphyrin deposits, and enlarged
mitochondria, but these effects were not seen at a lower dose (0.5 mg
HCB/kg body weight twice weekly, or 0.14 mg HCB/kg body weight per
day). Bleavins et al. (1984a) reported that exposure of female mink to
a dietary concentration of 1 mg/kg (estimated to yield a dose of
0.16 mg/kg body weight per day) for 47 weeks significantly increased
serotonin concentrations in the hypothalamus of dams, and depressed
hypothalamic dopamine concentrations in kits exposed in utero and
through nursing.
As in subchronic studies, female rats were more sensitive than
males to porphyria induced by chronic exposure to HCB. Grant et al.
(1974) reported that in Sprague-Dawley rats fed diets containing HCB
for 9-10 months, reduced weight gain and porphyria were observed in
females, but not males, receiving 80 or 160 mg HCB/kg feed
(approximately 4 or 8 mg HCB/kg body weight per day). A dose-related
increase in relative liver weights and in the hepatic content of HCB
was noted in both sexes. Hepatic enzyme activities and cytochrome
P-450 activities were increased in males administered 40 mg HCB/kg
feed or more. Exposure to 10 mg HCB/kg feed (approximately 0.5-0.6 mg
HCB/kg body weight per day) induced in vivo mixed-function oxidase
activity, as indicated by reductions in sleeping time for
pentobarbital and zoxazolamine exposure.
The carcinogenicity of HCB has been assessed in several bioassays
in rats, mice and hamsters. The following discussion is limited
principally to the four studies in which adequate numbers of animals
of both sexes were exposed for a sufficient length of time to more
than one dose level.
Cabral et al. (1977) and Cabral & Shubik (1986) reported a
statistically significant increase of liver cell tumours (hepatomas)
in groups of 30-60 male and female Syrian golden hamsters fed 50, 100
or 200 mg HCB/kg (4, 8 or 16 mg/kg body weight per day) HCB in their
diets for life. The incidence of "haemangioendotheliomas" of the liver
was significantly increased in both sexes at 200 mg/kg and in males at
100 mg/kg, and of alveolar adenomas of the thyroid in males at
200 mg/kg. (The latter finding is interesting in the light of reports
of excesses of thyroid neoplasms, or of enlargement of the thyroid, in
human populations with elevated exposures to HCB (section 8.1.)) The
authors reported that three of the hepatic "haemangioendotheliomas"
(which are non-invasive by definition) metastasized. It seems likely,
therefore, that these tumours were malignant, though misclassified.
In another study, HCB was administered in the diet to groups of
30 or 50 outbred male and female Swiss mice at concentrations of 0,
50, 100 and 200 mg/kg (0, 6, 12 and 24 mg/kg body weight per day) for
120 weeks (Cabral et al., 1979; Cabral & Shubik, 1986). In females
exposed to 200 mg/kg, a statistically significant increase in the
incidence of "liver cell tumours (hepatomas)" was noted. "Hepatomas"
were also elevated, though not significantly, in males at this dose
and in both sexes at 100 mg/kg. The number of tumour-bearing animals,
the latent period, and the multiplicity and size of tumours increased
with dose.
Arnold et al. (1985) and Arnold & Krewski (1988) investigated the
potential carcinogenicity to rats of combined in utero, lactational
and oral exposure to analytical grade HCB. Groups of 40 or more
weanling male and female Sprague-Dawley rats were fed diets containing
0, 0.32, 1.6, 8 or 40 mg HCB/kg. (Based on data supplied by the
author, mean doses for males were 0, 0.01, 0.06, 0.29 and 1.50 mg/kg
body weight per day and for females 0, 0.01, 0.07, 0.38 and 1.90 mg/kg
body weight per day). After 3 months, the F0 rats were bred, and 50
F1 pups of each sex were randomly selected from each group. From
weaning, the F1 animals were continued on the same diet for their
lifetimes (up to 130 weeks). In exposed F1 females, increased
incidences of neoplastic liver nodules and adrenal phaeochromocytomas
were noted at the highest dose. A significantly increased incidence of
parathyroid adenomas was noted in males receiving 40 mg HCB/kg in
their diet.
In a study by Lambrecht et al. (1983a,b; Ertürk et al., 1986),
groups of 94 weanling Sprague-Dawley rats were fed diets containing 0,
75 or 150 mg/kg (4 and 8 mg/kg body weight per day for males and 5 and
9 mg/kg body weight per day for females, respectively) for up to 2
years. Statistically significant increases in the incidence of
hepatomas/haemangiomas and of renal cell adenomas were noted at both
doses in animals of both sexes surviving beyond 12 months. Incidences
of hepatocellular carcinomas and bile duct adenomas/carcinomas were
also elevated in females at both doses. In female rats, significant
increases in the incidences of adrenal cortical adenomas at 75 mg/kg
and phaeochromocytomas at both doses were reported. Lambrecht et al.
(1983b) reported a leukaemia involving the thymus, spleen, liver and
kidney in rats exposed to HCB in this study, but did not present any
quantitative data. The results of this study were only reported in
summary form, with few details of the study protocol and results. In
addition, HCB was incorporated into the diet as a powder in this
study, raising the possibility that some of the effects observed may
have been in part attributable to the inhalation of aerosolized HCB.
High incidences of liver tumours have also been reported in some
more limited studies in which single dietary concentrations (100 or
200 mg/kg) were administered to small groups (i.e., between 4 and 15)
of females of three strains of rats (Smith & Cabral, 1980; Smith et
al., 1985b); in one strain (Fischer-344), hepatocellular carcinomas
were observed (Smith et al., 1985b). HCB has not, however, been
carcinogenic in several other studies in various strains of mice
(Theiss et al., 1977; Shirai et al., 1978; Smith et al., 1989),
perhaps as a result of the low doses, short durations of exposure
and/or small group sizes employed. Results were also negative in a
second study by Arnold et al. (1985), in which groups of 50 male
Sprague-Dawley rats were fed diets containing 40 mg HCB/kg in
conjunction with various levels of vitamin A for 119 weeks, indicating
the probable higher sensitivity of the two-generation carcinogenesis
bioassay.
Ertürk et al. (1982, 1986; Lambrecht et al., 1982a,b) examined
the tumorigenic activity of subchronic exposure to HCB in both sexes
of Swiss mice, Syrian golden hamsters and Sprague-Dawley rats at
dietary levels of 0, 100 and 200 mg/kg (mice) and 0, 200 and 400 mg/kg
(hamsters and rats) for 90 days. At day 91, 25 of 50 animals in each
group were sacrificed for histological examination, with the remainder
being sacrificed at 6-week intervals (up to 341, 361 and 424 days for
mice, hamsters and rats, respectively). The results of these studies
were reported in summary form only, and much of the quantitative data
were not presented. The authors reported that, as the experiment
progressed, treated animals developed hepatomas, bile duct adenomas,
renal adenomas and carcinomas, and lymphosarcomas of the thymus,
spleen, and lymph nodes. However, the only tumour and species for
which they presented clear evidence of a treatment-related increase in
incidence was for lymphatic tumours in mice (Ertürk et al., 1982).
Lymphatic and renal neoplasms were observed as early as the end of the
90-day period. It is not clear from these reports which tumours each
species developed or the dietary levels associated with the observed
effects, as well as other experimental details.
Results from a number of studies have indicated that HCB is a
co-carcinogen or promoter of cancer. Concomitant exposure to 50 mg
HCB/kg in diet (approximately 6 mg HCB/kg body weight per day)
enhanced the induction of liver tumours by polychlorinated terphenyl
(at 250 mg/kg diet) in male ICR mice (Shirai et al., 1978). Exposure
to HCB (100-200 mg/kg in diet (approximately 5-10 mg HCB/kg body
weight per day) or 1 mmole/kg i.p. at 1 and 5 weeks) promoted the
development of hepatocellular carcinomas and/or hepatic gamma-
glutamyltranspeptidase-positive foci initiated by diethylnitrosamine
in various strains of rats (Pereira et al., 1982; Herren-Freund &
Pereira, 1986; Stewart et al., 1989).
In some recent studies, the possible mechanisms by which HCB
induces tumours in animals have been investigated.
Bouthillier et al. (1991) presented the results of studies of
Sprague-Dawley rats exposed to 100 mg HCB/kg by gavage for periods of
several weeks, which indicated that the observed increase in renal
tumours in male Sprague-Dawley rats following exposure to HCB
(Lambrecht et al., 1983b; Ertürk et al., 1986) is related to protein
droplet nephropathy. The mechanism by which structurally diverse
hydrocarbons induce hyaline droplet nephropathy in male rats has been
well documented and involves accumulation of alpha-2u-globulin,
resulting in necrosis, regeneration and, in some cases, tumours. This
response is sex- and species-specific, and hence is unlikely to be
relevant to humans. This mechanism does not, however, explain the
increased (but lower) incidence of renal tumours in females also
reported by Lambrecht et al. (1983b).
Carthew & Smith (1994) hypothesized that some HCB-induced hepatic
tumours in rats may be produced by a non-genotoxic mechanism. They
noted that hepatotoxicity of HCB in rodents gives rise to peliosis and
necrosis with haemosiderosis, indicating that vascular damage has
occurred, and confirmed the presence of such damage in the liver of
chronically HCB-exposed rats by the identification of widespread
fibrin deposits, using an antibody to rat fibrin. These deposits
occurred in association with abundant haemosiderosis in hepatocytes
and areas of widened hepatic sinusoids. On this basis, it was
suggested that the formation of hepatomas and haemangiomas with
elements of peliosis could be the result of compensatory hyperplastic
responses to hepatocellular necrosis and the simultaneous loss of
hepatocellular cords, perhaps potentiated by the accumulation of iron
in the liver.
Mechanistic studies that address the relevance to humans of the
remaining tumour types induced in rodents by HCB have not been
identified.
7.4 Mutagenicity and related end-points
HCB has not been found to be genotoxic in most studies conducted
to date. HCB did not cause either frameshift or base pair substitution
mutations in Salmonella typhimurium at doses of as much as 10
mg/plate with or without metabolic activation, with both rat and
hamster liver activation systems, pre-incubation and plate
incorporation methods, and technical and 99.9% pure HCB (Haworth et
al., 1983; Górski et al., 1986; Siekel et al., 1991). A weak positive
response in S. typhimurium strain TA98 at 50 and 100 µg/plate was
reported by Gopalaswamy & Aiyar (1986) and Gopalaswamy & Nair (1992).
However, the authors also reported mutagenic activity for lindane, in
contrast to the results of other studies (e.g., Haworth et al., 1983).
Doses of up to 1000 µg/plate of HCB did not induce tryptophan
reversion or DNA damage in Escherichia coli strains WP2 and WP2uvrA
with or without metabolic activation (Siekel et al., 1991).
There have been reports of mutagenic activity for HCB in
eukaryotic cells in vitro, although these studies have limitations.
Guerzoni et al. (1976) reported a positive finding for methionine
reversion in Saccharomyces cerevisiae strain 632/4 exposed to HCB,
but Brusick (1986) did not consider the observed increase to meet
current standards of a positive response. In addition, only a single
dose level was used in that study, and there was no exogenous
metabolic activation. Kuroda (1986) reported that in cultured Chinese
hamster lung cells (V79), HCB did not induce OUAr mutations, but did
induce 8AGr mutations. However, both the magnitude of the increase
(which was small, roughly 1/105 survivors at the two highest doses)
and uncertain dose-response indicate that this response is open to
question.
Oral administration of as much as 221 mg HCB/kg body weight per
day to male rats for 5 or 10 days failed to induce dominant lethal
effects in two different studies (Khera, 1974; Simon et al., 1979),
although Simon et al. (1979) did observe a slight reduction in male
reproductive performance (numbers of females inseminated and
impregnated). Rumsby et al. (1992) reported that liver neoplasms that
developed in iron-overloaded C57Bl/10ScSn mice exposed for 18 months
to 0.01% HCB in the diet were not associated with a high frequency of
mutations in the Ha-ras proto-oncogene at codon 61. Only two mutations
were observed at different sites, from 23 preneoplastic and neoplastic
lesions examined, indicating that activation of the Ha-ras gene is not
an important event in the hepatocarcinogenicity of HCB in this test
system.
HCB has not been found to be clastogenic in the few available
studies in which this end-point has been examined. The compound did
not increase the frequency of sister chromatid exchanges in the bone
marrow of male mice given as much as 400 mg/kg body weight (by an
unspecified route), although the lack of detail in reporting the test
protocol and results limits the interpretation of this study (Górski
et al., 1986). HCB did not induce chromosomal aberrations in vitro
in cultured Chinese hamster fibroblast cells at concentrations as high
as 12 mg/ml, with or without metabolic activation (Ishidate, 1988), or
in human peripheral blood lymphocytes exposed to up to 0.1 mmol/litre
(Siekel et al., 1991). Treatment of rats with 1000 mg HCB/kg diet for
15 days was hepatotoxic, but did not cause early diploidization in
hepatocytes as measured by flow cytometry (Rizzardini et al., 1990).
The results of less specific assays also indicate that HCB does
not interact strongly with DNA, although there are two reports that
the compound binds, at low levels, to DNA. After incubating
hepatocytes isolated from phenobarbital-treated rats with 14C-HCB
(5 µM) for 20 h, Stewart & Smith (1987) reported the maximum amount of
radioactivity associated with DNA was < 9.9 × 10-5% of the substrate
added, and was only marginally above that of hepatocytes held at 4°C;
the authors considered this to be significantly lower than expected
for hepatocarcinogens. Gopalaswamy & Nair (1992) also reported a low
order of binding of HCB to DNA from the livers of rats exposed to
25 mg HCB/kg. Short-term exposure (<1 day) of rats to oral doses of
700 or 1400 mg/kg body weight (Kitchin & Brown, 1989) or to as much at
300 mg/kg body weight i.p. (Górski et al., 1986) did not cause hepatic
DNA damage, as measured by alkaline elution.
7.5 Reproductive and developmental toxicity
Relatively low doses of HCB have been found to affect some
reproductive tissues in female monkeys. Oral exposure of cynomolgus
monkeys to 0.1 mg/kg body weight per day in gelatin capsules for 90
days caused stratification of the ovarian germinal epithelium
(Babineau et al., 1991; Jarrell et al., 1993a). Higher dosages (1.0
and 10.0 mg/kg body weight per day) were associated with cellular
degeneration of this surface epithelium. The low dosage was associated
with ultrastructural as well as light microscopic changes in surface
epithelium (Babineau et al., 1991; Sims et al., 1991).
In ovarian follicles the low dose was associated with an
increased number of lysosomal elements in germ cells (Singh et al.,
1990a). The basal lamina was thickened. Higher dosages were associated
with greater degenerative changes in their cells and granulosa cells
(Singh et al., 1991, 1990b).
These studies demonstrated changes in ovarian tissues with no
other evidence of toxicity. In particular, the induction of
superovulation with human menopausal gondotrophin (HMG) in these
animals was associated with a normal estradiol response, oocyte
recovery, oocyte maturation, in vitro fertilization and early embryo
development (Jarrell et al., 1993a). These studies confirm the
findings of Iatropoulous et al. (1976) in which the administration of
8 to 128 mg/kg body weight (by gavage in 1% methylcellulose) for 60
days induced severe follicular degeneration in primordial germ cells,
pseudostratification of the ovarian surface epithelium, hepatic
degeneration and severe systemic toxicity in Rhesus monkeys.
In subsequent studies of similarly treated animals, the higher
doses were associated with reduced luteal phase progesterone and
blunted estradiol responses to HMG (Foster et al., 1992a,b). Reduction
in adrenal steroidogenesis occurred in ovariectomized rats in response
to exposure to HCB at concentrations of 1, 10 and 100 mg/kg body
weight for 30 days (Foster et al., 1995).
In contrast, the results of studies on a variety of species have
indicated that repeated exposure to HCB can affect male reproduction,
but only at relatively high doses. Mice exposed to 250 mg HCB per kg
feed (approximately 30 mg HCB/kg body weight per day) for 21 days had
reduced serum testosterone levels; based on the results of in vitro
tests, it was suggested that this was due to increased metabolism by
hepatic microsomal enzymes induced by HCB (Elissalde & Clark, 1979).
Histological changes in the testes (retarded sexual maturation) were
noted in pigs fed a diet yielding a dose of 50 mg HCB/kg body weight
per day for 90 days (den Tonkelaar et al., 1978). The mating index for
male rats receiving five consecutive daily gavage doses of 221 mg
HCB/kg body weight in corn oil was decreased compared to those
receiving 0 or 70 mg/kg body weight However, the fertility index for
the mated female rats (sperm positive smears) was not affected (Simon
et al., 1979).
As discussed in the following paragraphs, placental and
lactational transfer of HCB, demonstrated in a number of species, can
adversely affect both the fetus and nursing offspring. The lactational
route appears to be more important than placental transfer. Adverse
effects on suckling infants are generally observed more frequently,
and at lower doses, than are embryotoxic or fetotoxic effects.
Grant et al. (1977) conducted a four-generation study on female
(20/dose level) and male (10/dose level) weanling Sprague-Dawley rats
fed diets containing 0, 10, 20, 40, 80, 160, 320 or 640 mg HCB/kg
feed. The two highest doses caused some deaths in the F0 dams before
first whelping, and reduced the fertility index. Dietary levels of 160
mg/kg or more reduced litter sizes, increased the number of
stillbirths, and adversely affected pup survival. Similar effects were
seen at 80 mg/kg after the first two generations, while 40 mg/kg was
hepatotoxic to the F1a and F3a pups. A dietary level of 20 mg/kg
(approximately 1-1.2 mg/kg body weight per day) was designated as the
no-observed-effect level.
Arnold et al. (1985) fed groups of male and female Sprague-Dawley
rats from weaning on diets containing up to 40 mg HCB/kg. The rats
were then bred at 3 months, and the F1 pups were continued on the
same diet for their lifetimes. HCB had no effect on fertility, but pup
survival was significantly reduced in the 40 mg/kg group (calculated
doses of 1.50 and 1.90 mg/kg body weight per day for males and
females, respectively).
In other studies, maternal doses in the range from 1.4 to 4 mg/kg
given to rats and cats have been found to be hepatotoxic and/or
affected the survival or growth of nursing offspring. In some cases,
these or higher doses reduced litter sizes and/or increased numbers of
stillbirths (Mendoza et al., 1977, 1978, 1979; Hansen et al., 1979;
Kitchin et al., 1982).
Mink are particularly sensitive to the effects of prenatal and
perinatal exposure to HCB; the offspring of mink fed diets containing
concentrations as low as 1 mg/kg (approximately 0.16 mg/kg body weight
per day) for 47 weeks (prior to mating and throughout gestation and
nursing) had reduced birth weights and increased mortality (Rush et
al., 1983; Bleavins et al., 1984b).
The available data on the developmental toxicity of HCB are
limited. CD-1 mice administered 100 mg/kg body weight by gavage on
days 7-16 of gestation had a significantly increased incidence of
abnormal fetuses per litter, and one case of renal agenesis was
reported. Some cleft palates were produced, but they all occurred in
one litter. This dose also increased maternal liver-to-body weight
ratios and decreased fetal body weights (Courtney et al., 1976). In a
series of studies reported by Andrews & Courtney (1986), combined
in utero and lactational exposure of CD-1 mice and CD rats (strain
unclear, probably Sprague-Dawley) to HCB (mouse dams received 10 or
50 mg/kg body weight per day, and rats 10 mg/kg body weight per day,
by gavage during gestation) resulted in increases in body weight and
kidney weights of pups of both species, along with enlarged kidneys
and a few cases of hydronephrosis. Increased liver weights were
observed in rat pups, and the occurrence of abnormal kidneys was
sporadic, with no dose-response relationship in studies with mice.
Khera (1974) reported a significant increase in the incidence of
unilateral or bilateral 14th rib in litters of Wistar rats receiving
doses of 80 and 120 mg HCB/kg body weight during gestation, but
maternal toxicity (loss of body weight and neurological effects) and
reduced fetal weights were noted in animals in these groups. (It
should be noted that, based on the biological half-lives reported for
HCB in mammals (section 6.2), the concentration of HCB in the dams in
these studies would not have reached the maximum that might occur as a
result of intake over a longer period).
Neurobehavioural development was affected in the offspring of
rats exposed to 2.5 or 25 mg/kg body weight per day by gavage 2 weeks
prior to breeding. Pups in both treated groups were hyperactive (based
on tests of negative geotaxic reflex, olfactory discrimination, and
exploratory locomotor activity) at 6-20 days of age. Pups from the
high treatment groups showed reduced acoustic startle response at 23
days of age, but a significantly increased response at 90 days. These
doses did not affect learning (swim T-maze) or motor activity in older
offspring, nor maternal or fetal body weights, length of gestation,
number of pups/litter at birth, or number of days to eye opening
(Goldey & Taylor, 1992).
Lilienthal et al. (1996) recently reported HCB-induced effects on
neurobehavioural development of rat pups exposed both maternally and
through the diet (dams were exposed to 0, 8 or 16 mg HCB/kg diet for
90 days prior to mating and throughout gestation and nursing, after
which the offspring were fed the same levels for 150 days). Exposure
to HCB did not affect the mean body weight of the pups (except males
at 150 days of age), or the number of pups/litter, but did increase
the mean body weight of dam, and their liver-to-body weight ratios.
Schedule-controlled behaviour was affected at 8 and 16 mg HCB/kg diet
(0.64 and 1.28 mg/kg body weight per day), as indicated by a dose-
related decrease in post-reinforcement pause at the end of the
experiment. Exploratory locomotor activity, open field behaviour at 21
days of age, and active avoidance learning at 90 days of age were
unaffected.
7.6 Immunotoxicity
The results of a number of studies have indicated that HCB
affects the immune system, with immunosuppressive effects in mice and
immunostimulatory effects in rats (summarized by Vos, 1986).
Balb/C mice exposed to 5 mg HCB/kg diet (approximately 0.6 mg/kg
body weight per day) for 3 to 18 weeks were more susceptible to
Leishmania infection (Loose, 1982) and had reductions in resistance
to a challenge with tumour cells and in the cytotoxic macrophage
activity of the spleen (Loose et al., 1981). Barnett et al. (1987)
reported that Balb/C mice exposed to maternal doses of 0.5 or 5 mg
HCB/kg body weight per day in utero and through nursing had severe
depression of the delayed-type hypersensitivity response to a contact
allergen (oxazolone). In a number of studies, exposure of mice to
diets containing 167 mg HCB/kg in diet (approximately 20 mg HCB/kg
body weight per day) for several weeks depressed humoral immunity,
cell-mediated immunity and host resistance (Vos, 1986; Carthew et al.,
1990).
In rats or rhesus monkeys with oral exposure to between 3 and
120 mg HCB/kg body weight per day for periods from 3 weeks to 6 months
in various studies, proliferative histopathological effects in the
thymus, spleen, lymph nodes, and/or lymphoid tissues of the lung have
been observed (Kimbrough & Linder, 1974; Iatropoulos et al., 1976;
Goldstein et al., 1978; Vos et al., 1979a,b; Kitchin et al., 1982).
Gralla et al. (1977) observed that long-term exposure to 1 mg HCB/day
(equivalent to a dose at the start of the experiment of roughly
0.12 mg/kg body weight per day) caused nodular hyperplasia of the
gastric lymphoid tissue in beagle dogs.
In rats, prominent changes following dietary exposure to HCB
include elevated IgM levels and an increase in the weights of the
spleen and lymph nodes. Histopathologically, the spleen shows
hyperplasia of B-lymphocytes in the marginal zone and follicles, while
lymph nodes show an increase in proportions of high endothelial
venules, indicative of activation. High endothelial-like venules are
induced in the lung, as are accumulations of macrophages. Functional
tests revealed an increase in cell-mediated immunity, as measured by
DTH reactions, a notable increase in primary and secondary antibody
response to tetanus toxoid, and decreased NK activity in the lung (Vos
et al., 1979a,b). Stimulation of humoral and cell-mediated immunity
occurred even at dietary levels as low as 4 mg HCB/kg (approximately
0.2 mg HCB/kg body weight per day); at such a dose conventional
parameters for hepatotoxicity were unaltered (Vos et al., 1983).
Therefore, the developing immune system of the rat seems to be
particularly vulnerable to the immunotoxic action of HCB.
More recent studies indicate that HCB may cause autoimmune-like
effects in the rat. Wistar rats treated with HCB had elevated levels
of IgM, but not IgG, against the autoantigens single-stranded DNA,
native DNA, rat IgG (representing rheumatoid factor), and bromelain-
treated mouse erythrocytes (that expose phosphatidylcholine as a major
autoantigen). It has been suggested that HCB activates a recently
described B cell subset committed to the production of these
antibodies (Schielen et al., 1993). The role of these autoantibodies
is still a matter of controversy. Increased levels have been
associated with various systemic autoimmune diseases, but a protective
role of these autoantibodies against development of autoimmune disease
has been postulated as well. Interesting in this respect are the
observations that HCB had quite opposite effects in two different
models of autoimmune disease in the Lewis rat. HCB treatment severely
potentiates allergic encephalitis elicited by immunization with myelin
in complete Freund's adjuvant, while it strongly inhibits the
development of arthritic lesions elicited by complete Freund's
adjuvant as such (Van Loveren et al., 1990).
A possible relation between the immunomodulatory properties of
HCB and HCB-induced skin lesions, attributed in the literature to the
porphyrinogenic action of HCB, was recently indicated. In rats treated
with a combination of HCB and triacetyloleandomycin (TAO, a selective
inhibitor of cytochrome P-450IIIa), porphyria was greatly reduced.
Remarkably, combined treatment with HCB and TAO did not substantially
affect the incidence and severity of skin lesions. In addition, TAO
did not influence the immunomodulatory effect of HCB, including the
formation of antibodies. From these findings it has been suggested
that an immunological component underlies, at least in part, the
HCB-induced skin lesions in the rat (Schielen et al., 1995).
8. EFFECTS ON HUMANS
8.1 General population exposure
Numerous reviews have been published of an accidental poisoning
incident in Turkey that occurred in 1955-1959 as a result of
HCB-treated wheat grain (distributed by the Turkish government for
planting purposes) being ground into flour and made into bread
(Schmid, 1960; Cam & Nigogosyan, 1963; Dogramaci, 1964; Peters, 1976;
Courtney, 1979; Peters et al., 1982; US EPA, 1985a; Gocmen et al.,
1989). In this incident, more than 600 cases of porphyria cutanea
tarda (PCT) were clinically identified, and it was estimated that as
many as 3000-5000 persons were affected, with a mortality of 10%. The
condition developed primarily in children 4-14 years of age (roughly
80% of cases), occurring infrequently in adults and rarely in children
under 4 years of age. In a number of reports, it has been suggested
that males developed the condition in higher proportion than females.
However, Dogramaci et al. (1962) demonstrated that the sex ratio was
skewed in favour of males in both the affected and unaffected
populations. In addition to disturbances in porphyrin metabolism
(excretion of porphyrins and porphyrin precursors was greatly
increased), clinical manifestations included skin lesions (erythema,
bullae), ulcerations and resultant scarring, friable skin,
hyperpigmentation, hypertrichosis, enlarged liver, weight loss,
enlargement of the thyroid gland and lymph nodes, neurological
effects, and a characteristic port wine colour of the urine (from
increased excretion of porphyrins). In roughly half the cases,
osteoporosis of extremities, deformation of the fingers or arthritis
was also noted. The dermatological lesions, which occurred on the
exposed parts of the body, particularly the face and hands, were often
precipitated by sunlight. They tended to remit in winter and relapse
during the spring and summer (Peters, 1976; Peters et al., 1982). The
estimated dose was 50-200 mg/day for a number of months before
manifestations of the disease became apparent (Cam & Nigogosyan,
1963); the basis for this estimate was not presented, however, making
exposure calculations unreliable for this population. In 20- to 30-
year follow-ups of exposed individuals, neurological, dermatological
and orthopaedic abnormalities persisted, and there were elevated
levels of porphyrins in excreta of some individuals (Peters et al.,
1982; Peters et al., 1986; Gocmen et al., 1989).
In this incident, a disorder called "pembe yara" or "pink sore"
was described in infants of mothers who either had PCT or had eaten
HCB-contaminated bread. These infants developed characteristic pink
cutaneous lesions, and often had fevers, diarrhea, vomiting, weakness,
convulsions, enlarged livers and progressive wasting. It is noteworthy
that PCT was not observed in these children (Cam, 1960; Peters et al.,
1982). At least 95% of these children died within a year of birth, and
in many villages no children between the ages of 2-5 years survived
during the period 1955-1960. Elevated concentrations of HCB (levels
were not quantified at the time, but the average concentration in milk
from 56 porphyric mothers, 20-30 years after the incident, was
510 ng/g on a fat basis) were found in the mothers' milk and cessation
of breast-feeding slowed the deterioration of infants with this
disorder (Peters et al., 1966; Gocmen et al., 1989).
No adequate epidemiological studies of cancer in populations
exposed to HCB in the environment were found in the literature. In
long-term follow-up of the Turkish poisoning victims with porphyria
(Peters et al., 1982; Cripps et al., 1984; Gocmen et al., 1989) there
was no evidence of increased cancer incidence, although these studies
were not designed to evaluate this end-point, and only a small
fraction of the exposed people was followed up. There was a high
frequency of enlarged thyroids in the Turkish poisoning victims (27%
of men and 60% of women, compared to an average of 5% in the area
(Peters et al., 1982)), but Gocmen et al. (1989) reported that they
observed no malignant tumours of the liver or thyroid in 252 of the
poisoning victims. In three patients who underwent thyroidectomy,
histopathological examination indicated that the enlargement was due
to colloidal goitre.
Grimalt et al. (1994) reported a small ecological study of cancer
incidence (129 cases in all) in the inhabitants of a village in Spain
located near a chlorinated solvents factory. There were statistically
significant excesses of thyroid neoplasms and soft-tissue sarcomas in
males, compared with the province as a whole, although these were
based on only 2 and 3 cases, respectively. The exposures experienced
by this population were somewhat unclear. Levels of HCB in ambient air
and in the sera of volunteers were much higher in the village than in
Barcelona (means of 35 ng/m3 versus 0.3 ng/m3 and 26 µg/litre versus
4.8 µg/litre, respectively), but the authors presented evidence that
historical exposures had been much higher and indicated that all of
the males with cancer for whom there were occupational histories had
worked in the factory. Ambient air monitoring revealed that there were
exposures to a variety of other compounds, including polychlorinated
biphenyls, p,p'DDE, chloroform, carbon tetrachloride,
trichloroethylene and tetrachloroethylene, but at similar or lower
levels than in the reference community.
8.2 Occupational exposure
There have been case reports of workers developing PCT as a
result of direct contact with HCB (Courtney, 1979; Currier et al.,
1980), although there was no association between exposure to HCB and
PCT in three cross-sectional studies of very small populations of
exposed workers (Morley et al., 1973; Burns et al., 1974; Currier et
al., 1980). There was no evidence of cutaneous porphyria in a cross-
sectional study of the general population in Louisiana, USA, exposed
to HCB through the improper transport and disposal of hex waste;
however, plasma concentrations of HCB were significantly correlated
with levels of coproporphyrin in urine and of lactic dehydrogenase in
blood (Burns & Miller, 1975).
Available epidemiological studies on the carcinogenicity of HCB
in occupationally exposed humans are restricted to one study of a
cohort of 2391 magnesium metal production workers in Norway. Although
the incidence of lung cancer was significantly elevated compared to
that of the general population, workers were exposed to numerous other
agents in addition to HCB, including coal tar, asbestos and dust of
metal oxides and chlorides (Heldaas et al., 1989). Selden et al.
(1989) reported a case of hepatocellular carcinoma in a 65-year-old
man who had been employed for 26 years in an aluminum smelting plant,
where he had potential exposure to a range of substances, including
HCB, other chlorobenzenes, chlorophenols, dioxins and furans.
9. EFFECTS ON OTHER ORGANISMS IN THE LABORATORY AND FIELD
Data on the acute and chronic ecotoxicity of HCB are available
for species from a number of trophic levels, including protozoans,
algae, invertebrates and fish, for both the freshwater and marine
environments. With reference to terrestrial organisms, toxicity data
are available only for birds and mammals (the results of studies in
mammals are summarized in chapter 7). Since HCB is nearly insoluble in
water, and tends to partition from water to the atmosphere, the
substance is lost rapidly from open-test solutions. Hence, it is
difficult to maintain test concentrations for a sufficient time to
establish concentration-effects profiles for aquatic organisms.
Furthermore, HCB tends to bind to suspended solids in the water column
and thus may not be bioavailable to test organisms. This discussion of
the toxicity of HCB to aquatic organisms will therefore focus on tests
conducted under flow-through conditions, static renewal conditions, or
using closed vessels with minimal headspace. In addition, no
consideration has been given to tests in which concentrations of HCB
were well above its solubility in water (5 µg/litre at 25°C).
9.1 Short-term exposure
9.1.1 Aquatic biota
Of four freshwater algal species tested, only one, Chlorella
pyrenoidosa, was affected by concentrations of HCB in water at or
below its limit of aqueous solubility. Reduced production of
chlorophyll, dry matter, carbohydrate and nitrogen was observed for
C. pyrenoidosa after exposure to a nominal concentration of
1 µg/litre HCB for 46 h in a static-closed system (Geike & Parasher,
1976a). A no-observed-effect concentration (NOEC) was not determined
in this study.
At concentrations equal to its aqueous solubility in water
(5 µg/litre), HCB was not lethal to the freshwater water flea
Daphnia magna in a flow-through test in which concentrations of HCB
were measured (Nebecker et al., 1989). In 96-h flow-through tests on
marine invertebrates, exposure to HCB caused 13% mortality in pink
shrimp ( Penaeus duorarum) at a measured concentration of 7 µg
HCB/litre, and 10% mortality in grass shrimp ( Palaemonetes pugio) at
17 µg/litre. The NOEC values in these species were 2.3 µg/litre and
6.1 µg/litre, respectively (Parrish et al., 1974). In a static-closed
system, there was a 10% reduction in reproduction of the ciliate
protozoan Euplotes vannus after exposure to a nominal concentration
of 10 µg/litre HCB for 48 h (Persoone & Uyttersprot, 1975).
The available data on freshwater fish species indicated no
harmful effects at concentrations at or near the limit of solubility
of HCB in water during acute exposure (Call et al., 1983; Ahmad et
al., 1984). In the only available study for marine fish species, there
were no effects on mortality in sheepshead minnow ( Cyprinodon
variegatus) after flow-through exposure to a measured concentration
of 13 µg/litre HCB for 96 h (Parrish et al., 1974).
Limited data are available concerning the toxic effects of HCB in
sediment on freshwater and marine biota. In a 96-h sediment toxicity
test on the marine shrimp, Crangon septemspinosa, no mortality was
observed at the highest concentration of HCB tested, 300 µg/litre
(McLeese & Metcalfe, 1980).
Several studies have confirmed that there is a relatively
constant body residue associated with acute lethality in freshwater
fish, invertebrates and algae exposed to mono-to-pentachlorobenzenes
(McCarty et al., 1992a; Ikemoto et al., 1992). The acute LC50
critical body residue for chlorobenzenes is 2 µmol/g wet weight, or
569.6 µg/g wet weight for HCB, assuming that HCB has the same mode of
action as the other chlorobenzenes (McCarty et al., 1992b).
9.1.2 Terrestrial biota
The LD50 for HCB in herring gull ( Larus argentatus) embryos
injected on day 4 and tallied on day 25 was 4.3 µg/g body weight
(Boersma et al., 1986). At a dose of 1.5 µg/g body weight, there were
significant reductions in embryonic weight. Five-day LC50 values
(i.e., 5 days of HCB-containing diet followed by 3 days of untreated
diet) were 617 µg/g diet for 10-day-old ring-necked pheasants
( Phasianus colchicus) and > 5000 µg/g diet for 5-day-old mallards
( Anas platyrhynchos) (Hill et al., 1975). Induction of porphyria has
been observed in studies of Japanese quail following administration of
500 µg HCB/g body weight per day for between 5 and 10 days either in
food or via intraperitoneal injection (Buhler & Carpenter, 1986;
Lambrecht et al., 1988).
9.2 Long-term exposure
9.2.1 Aquatic biota
Growth of cultures of the alga Chlorella pyrenoidosa was
increased by exposure for 3 months to a nominal concentration of 1 µg
HCB/litre (Geike & Parasher, 1976b), while that of the protozoan
Tetrahymena pyriformis was decreased after a 10-day exposure to the
same concentration (Geike & Parasher, 1976b).
After exposure to 5 µg HCB/litre for 10 days in a static-renewal
system, crayfish ( Procambarus clarki) experienced damage to the
hepatopancreas (Laseter et al., 1976). The fertility of Daphnia
magna was reduced by 50% after exposure for 14 days to a measured
concentration of 16 µg/litre HCB in a static-closed system (Calamari
et al., 1983). Significantly increased mortality was observed in
amphipods, Gammarus lacustris, exposed to a measured concentration
of 3.3 µg HCB/litre for 28 days under flow-through conditions
(Nebecker et al., 1989). However, the results of this study indicated
a weak-dose response relationship. In two other flow-through studies,
there were no effects on survival, growth or reproduction of the
amphipod Hyallela azteca and the worm Lumbriculus variegatus at a
measured concentration of 4.7 µg HCB/litre (Nebecker et al., 1989).
In several studies, fathead minnows ( Pimephales promelas) and
rainbow trout ( Oncorhynchus mykiss) experienced no mortality or
effects on growth after exposure to levels of HCB approaching its
aqueous solubility (Ahmad et al., 1984; Carlson & Kosian, 1987; US
EPA, 1988; Nebecker et al., 1989). However, Laseter et al. (1976)
reported liver necrosis in large-mouth bass ( Micropterus salmoides)
after an exposure for 10 days to 3.5 µg HCB/litre under flow-through
conditions.
Guidelines for the protection and management of aquatic sediment
quality in Ontario, Canada (Persaud et al., 1991) have given a no-
observed-effect level (NOEL), a lowest-observed-effect level and a
severe-effect level for a variety of contaminants. The values given
for HCB are 10 ng/g dry weight, 20 ng/g dry weight and 24 000 ng/g
organic carbon. The partitioning approach was used to determine the
lowest-observed-effect level, whereas the severe-effect level was more
dependent on the screening level concentration approach. The
limitation of both approaches is that they are unable to separate the
biological effects that are due to a combination of contaminants; thus
while ecotoxicological effects can be established, these cannot be
attributed to any one chemical contaminant. This is a very serious
limitation since virtually all sediments are contaminated with a wide
variety of pollutants, and there is no indication that HCB was the
dominant pollutant.
Quantitative structure-activity relationships (QSAR) were used to
estimate the narcotic toxicity for 19 species to predict NOELs (Van
Leeuwen et al., 1992). The NOELs for water, sediment and residues in
biota were predicted only on the basis of the octanol/water partition
coefficient and relative molecular mass. The QSAR-derived level for
HCB in sediments was 5814 ng/g dry weight (20.4 nmol/g in the
reference) for sediments with 5% total organic carbon content. The
adjusted value for sediment with 1% total organic carbon content is
1163 ng/g. There is no experimental verification of these
calculations. Thus, no firm evidence is available on the critical
levels of HCB in sediments.
9.2.2 Terrestrial biota
In adult Japanese quail ( Coturnix japonica) fed diets
containing HCB for 90 days, mortality was increased at 100 µg HCB/g
in diet, and hatchability of eggs was significantly reduced at 20 µg/g
(Vos et al., 1971, 1972). At 5 µg/g, increased liver weight, slight
liver damage and increased faecal excretion of coproporphyrin were
observed. Eurasian kestrels ( Falco tinnunculus) fed mice containing
200 µg HCB/g fresh body weight for 65 days had significant weight
loss, ruffling of feathers, tremors, increased liver weight and
decreased heart weight (Vos et al., 1972).
The available long-term toxicity data for mammals are discussed
in section 7.
10. EVALUATION OF HUMAN HEALTH RISKS AND EFFECTS ON THE ENVIRONMENT
10.1 Evaluation of human health risks
10.1.1 Exposure
Based on estimates of mean exposure from various media (section
5.2), the general population is exposed to HCB principally in food
(mean intakes for adults range from 0.0004 to 0.0028 µg/kg body weight
per day). Intakes are estimated to be considerably less for ambient
air (3.4 × 10-5 to 2.1 × 10-4 µg/kg body weight per day) and
drinking-water (2.2 × 10-6 to 4.4 × 10-5 µg/kg body weight per day).
Based on these intakes, it is estimated that the total average daily
intake of HCB from food, air and drinking-water is between 0.0004 and
0.003 µg/kg body weight per day.
Data on levels of occupational exposure to HCB are limited but
indicate that workers in some industries may be exposed to higher
levels of HCB than the general population, particularly in the
manufacture of chlorinated solvents, and in the manufacture and
application of chlorinated pesticides contaminated with HCB. In some
instances inappropriate manufacturing and waste management practices
may expose nearby populations to higher levels of HCB than the general
population. Exposures may also be elevated in some indigenous
subsistence populations, particularly those that consume large
quantities of food species near the top of the food chain.
Owing to the elimination of HCB in breast milk, mean intakes by
nursing infants are estimated to range from < 0.018 to 5.1 µg/kg body
weight per day in various countries (see section 5.2.4 and Table 8).
10.1.2 Health effects
Available data on the effects of HCB in humans are limited
principally to those of people exposed in an accidental poisoning
incident that occurred in Turkey between 1955 and 1959. More than 600
cases of porphyria cutanea tarda (PCT) were observed, and infants of
exposed mothers experienced cutaneous lesions, clinical symptoms and
high mortality. It has been estimated that victims were exposed to an
estimated dose of 50-200 mg HCB/day for an undetermined, but extended,
period of time. However, the basis of this estimate was not provided,
making exposure calculations unreliable for this population. Studies
of the carcinogenicity of HCB in humans are limited to two small
epidemiological studies of cancer incidence in populations with poorly
characterized exposure to HCB as well as to numerous other chemicals.
No excesses of neoplasms have been reported in long-term follow-up
studies of the people with porphyria in the incident in Turkey, but
only a small fraction of the population was followed-up, and these
studies were not designed specifically to assess neoplastic end-
points.
Hence, the available data on humans are inadequate to serve as a
basis for assessment of effects from exposure to HCB. The remainder of
this evaluation is, therefore, based on studies in animals.
Based on the studies reviewed in section 7, the critical effects
induced by HCB in experimental animals comprise both non-neoplastic
and neoplastic effects.
With respect to non-neoplastic effects, repeated exposure to HCB
has been found to cause a wide range of non-neoplastic effects in
several species of animals, with similar lowest-observed-effect-levels
(LOELs) and no-observed-effect-levels (NOELs) for a number of end-
points (see Table 9). In these studies, effects reported have included
those on the liver in pigs and rats, on calcium metabolism in rats, on
ovarian histopathology in monkeys, on immune function in mice and
rats, on neurotransmitter levels in the hypothalamus of mink, on
postnatal survival in mink, and on neurobehavioural development in
rats. The range over which the various effects have been observed is
quite narrow; the lowest LOELs compiled in Table 9 range from 0.1 to
0.7 mg/kg body weight per day, while the lowest NOELs range from 0.05
to 0.07 mg/kg body weight per day.
Based on the induction of a variety of tumours in hamsters, rats
and mice exposed by ingestion, there is sufficient evidence that HCB
is carcinogenic in animals. The available evidence indicates that HCB
has little or no genotoxic activity and is therefore unlikely to be a
direct-acting (genotoxic) carcinogen. However, the Task Group noted
that tumours, some of which were malignant, have been induced in
multiple species, at multiple sites, in some instances at doses that
were not overtly toxic in other respects and that are within an order
of magnitude of those that produce more subtle toxicological effects,
or following subchronic exposure. Although there is some evidence to
suggest that HCB may cause cancer by indirect mechanisms, the evidence
is not definitive at this time and does not address all tumour sites.
Table 9. No-observed-effect and lowest-observed-effect levels (NOELs and LOELs) in mammals exposed to HCB
Species Effect NOEL LOEL Reference
(mg/kg body (mg/kg body
weight per day) weight per day)
Mouse Depressed delayed-type hypersensitivity - 0.5a Barnett et al.
response to oxazolone in mice exposed (1987)
to HCB in peanut butter in utero
(throughout gestation) and via nursing
to 45 days of age (section 7.6)
Mouse Increased susceptibility to Leishmania - 0.6 Loose et al. (1981);
infection, and reductions in resistance Loose (1982)
to a challenge with tumour cells and in
the cytotoxic macrophage activity of the
spleen in mice with subchronic exposure
to HCB in diet (section 7.6)
Rat Alterations in Ca metabolism (increased 0.07 0.7 Andrews et al.
serum 1,25-dihydroxy-vitamin-D3 levels, (1989, 1990)
reduced Ca excretion, alterations in
femur density, bone morphometry and
strength), increased liver weights, with
subchronic gavage exposure to HCB
(section 7.2)
Rat Increased cell-mediated and humoral - 0.2a Vos et al. (1983)
immune function, intraalveolar
macrophage accumulation, microsomal
ethoxyresorufin-O-deethylase activity,
in rats exposed to HCB in utero, via
nursing and in the diet to 5 weeks of
age (section 7.6)
Table 9 contd.
Species Effect NOEL LOEL Reference
(mg/kg body (mg/kg body
weight per day) weight per day)
Rat Increased organ weights (heart, brain 0.05-0.07 0.27-0.35 Arnold et al. (1985);
and liver) in F0 males, compound- Arnold & Krewski (1988)
related histological changes in liver
of both sexes of F1 rats with long-term
exposure to HCB in diet (section 7.3)
Rat Ultrastructural changes in livers 0.05-0.06 0.25-0.30 Mollenhauer et al.
(proliferation of SER, altered (1975, 1976)
mitochrondria, increase in numbers of
storage vesicles) of rats with long-term
exposure to HCB in diet (section 7.3)
Rat Induction of in vivo mixed-function - 0.5-0.6 Grant et al. (1974)
oxidase activity in rats with long-term
exposure to HCB in diet (section 7.3)
Rat Dose-related decrease in the post- - 0.64 Lilienthal et al.
reinforcement pause (PRP) after schedule- (1996)
controlled operant conditioning of rats
exposed to HCB in utero, through nursing,
and up to post-natal day 150
Mink Increased serotonin concentrations in - 0.16a Rush et al. (1983);
hypothalamus of mink dams with long-term Bleavins et al. (1984a,b)
dietary exposure to HCB, decreased
dopamine levels in hypothalamus, reduced
birth weights, and increased mortality
to weaning in mink kits with in utero
plus lactational exposure to HCB
(sections 7.3, 7.5)
Table 9 contd.
Species Effect NOEL LOEL Reference
(mg/kg body (mg/kg body
weight per day) weight per day)
Dog Nodular hyperplasia of gastric lymphoid - 0.12 Gralla et al.
tissue in beagles with long-term (1977)
exposure to HCB in gelatin capsules
(section 7.6)
Pig Increased urinary coproporphyrin and 0.05 0.05 Den Tonkelaar et al.
microsomal liver enzyme activity in (1978)
pigs with subchronic exposure to HCB
in diet (section 7.2)
a Doses reported are those received by dams
10.1.3 Approaches to risk assessment
The following is provided as a potential basis for derivation of
guidance values. Since ingestion is by far the principal route of
exposure and since the toxicological data for other routes of
administration are insufficient for evaluation, only the oral route is
addressed here, though the ultimate objective should be reduction of
total exposure from all routes.
Based on the scientific evaluation of the data for the non-
neoplastic and neoplastic end-points, two possible approaches to
develop health-based guidance values were suggested.
10.1.3.1 Non-neoplastic effects
The approach for non-neoplastic effects assumes a threshold for
these effects and is based on the use of the NOAEL or NOEL and an
uncertainty factor that takes account of interspecies and
interindividual variation in sensitivity to the substance, as well as
the quality of the available studies and the severity of effect.
The available data are sufficient to develop a Tolerable Daily
Intake (TDI) for HCB. The lowest reported NOELs and LOELs for several
different types of effects, such as those on the liver in rats and
pigs, calcium metabolism in rats, ovarian morphology in monkeys,
immune function in rats and mice, neurobehavioural development in rats
and perinatal survival in mink, fall within a very small range (Table
9). Based on the lowest reported NOELs included in the table
(approximately 0.05 mg/kg body weight per day based primarily on
hepatic effects observed in a subchronic study in pigs and in chronic
studies in rats), a TDI of 0.17 µg/kg body weight per day has been
derived for non-neoplastic effects, by incorporating an uncertainty
factor of 300 (x 10 for intraspecies variation; × 10 for interspecies
variation, × 3 for severity of effect). A factor of 3 for severity of
effects was chosen as HCB causes i) multiple non-neoplastic effects in
several species, and ii) LOELs for a number of end-points for which
NOELs have not been determined are very close to the NOEL, from the
critical studies, of 0.05 mg/kg body weight per day. However, it is
fully realized that national authorities may choose other end-points
or uncertainty factors depending upon data evaluation and future
scientific findings.
10.1.3.2 Neoplastic effects
The approach for neoplastic effects is based on the Tumorigenic
Dose5, or TD5 i.e., the intake or exposure associated with a 5%
excess incidence of tumours in experimental studies in animals (IPCS,
1994). This is a benchmark approach in which the TD5 is calculated
directly from the experimental data rather than using the upper or
lower confidence limits. Uncertainty factors are then applied to the
TD5 to obtain a guidance value. The choice of uncertainty factors is
based on the level and nature of mechanistic data available, the
quality of the database, the tumour pattern, the dose-response
relationship, and the experimental model chosen. The final value will
reflect the degree of certainty one has with the available
information.
For the purpose of indicating the magnitude of risk of HCB, the
two-generation study in rats has been selected, owing to its relevance
to the exposure of the general human population, as the design of this
study involved exposure to relatively low concentrations of HCB in the
diet (including in utero and lactational exposure). Moreover, tumour
pathology was inadequately reported in the available studies in
hamsters and mice, and there is some concern that in the other
adequate study in rats, there may also have been exposure by
inhalation to some HCB that was incorporated in the diet as a powder.
The TD5 value was calculated from the results of the two-
generation study in rats using a multistage model (Crump & Howe,
1982). The tumour incidences in the pups were analysed in the same
manner as data from a single-generation study, owing to the lack of
information on individual litters. On this basis, the TD5 values
range from 0.81 mg/kg body weight per day for neoplastic liver nodules
in females to 2.01 mg/kg body weight per day for parathyroid adenomas
in males. The Task Group decided that the most sensitive end-point
(neoplastic nodules of the liver) would be used in its analysis. In
calculating the suggested guidance value, it was agreed to use an
uncertainty factor of 5000, based on consideration of the insufficient
mechanistic data. The TD5 was divided by this uncertainty factor to
arrive at the suggested guidance value of 0.16 µg/kg body weight per
day. However, it is fully realized that national authorities may
choose other end-points or uncertainty factors depending upon data
evaluation and future scientific findings.
Although infants may have a high intake of HCB via breast milk
for a short time, the TD5 and TDI were considered to be protective of
the health of this population (unless there are extreme exposures),
because one of the long-term studies used in deriving these values
included lactational exposure. However, it should be noted that the
TD5 and TDI values derived above should not be compared directly with
intakes from breast milk by nursing infants, since the guidance values
are based on a lifetime intake, whereas the duration of breast-feeding
is relatively short.
10.2 Evaluation of effects on the environment
HCB is widely distributed in the environment, by virtue of its
mobility and resistance to degradation, although slow photodegradation
in air (half-life of approximately 80 days) and microbial degradation
(half-life of several years) do occur. It has been detected in air,
water, sediment, soil and biota from around the world. HCB is a
bioaccumulative substance (BCF values range from 375 to > 35 000),
and biomagnification of HCB through the food chain has been reported.
In studies of the acute toxicity of HCB to aquatic organisms,
exposure to concentrations in the range of 1 to 17 µg/litre reduced
production of chlorophyll in algae and reproduction in ciliate
protozoa. In longer-term studies, the growth of sensitive freshwater
algae and protozoa was affected by a concentration of 1 µg/litre,
while a concentration of approximately 3 µg/litre caused mortality in
amphipods and liver necrosis in largemouth bass. The concentrations of
HCB in surface waters around the world are much lower than these
effect levels (3 to 5 orders of magnitude lower), except in a few
extremely contaminated localities.
Injection studies in eggs have shown that tissue levels of
1500 ng/g wet weight reduce embryo weights in herring gulls (lowest
dose tested). No studies were available to establish a NOAEL. For many
bird species, reduced embryo weights are associated with lower
survival of chicks. This effect level is within an order of magnitude
of the levels measured in the eggs of sea birds and raptors from a
number of locations from around the world, suggesting that present
levels of HCB in certain locations may harm embryos of bird species.
Experimental studies on mink indicate that they are sensitive to
the toxic effects of HCB; long-term ingestion of diets containing
1000 ng HCB/g (the lowest dose tested) increased mortality, decreased
birth weights of offspring exposed in utero and via lactation, and
altered levels of neurotransmitters in the hypothalamus of dams and
their offspring. No studies were available to establish a NOAEL. This
dietary effect level is only a few times higher than the
concentrations of HCB measured in various species of fish from a
number of industrialized locations from around the world, suggesting
that present levels of HCB in fish species from certain locations may
adversely affect mink and perhaps other fish-eating mammals.
11. RECOMMENDATION FOR PROTECTION OF HUMAN HEALTH AND THE ENVIRONMENT
a) Alternatives should be found for any present uses of HCB.
b) It is important to reduce the environmental burden of HCB by:
(i) identifying remaining sources and quantities of release to
the environment from these sources, including point source
emissions, waste disposal sites and production facilities;
(ii) applying appropriate manufacturing and waste disposal
practices in order to decrease levels of HCB in the
environment.
c) Human monitoring of HCB in blood and breast milk should be
undertaken to develop data representing exposure of the general
population, in order to identify highly exposed populations and
potential sources, and to enable interpretation of individual
results.
d) In order to gauge the efficacy of control measures it would be
valuable to monitor environmental levels and effects in locations
where levels are higher than the global average.
e) Neonatal effects in humans and other species have been associated
with ingestion of high doses of HCB through breast milk. It is
recommended that techniques be developed to assess appropriately
the risk to infant health from exposure to HCB and related
compounds in breast milk.
12. FURTHER RESEARCH
12.1 Environment
a) To improve the database available for environmental risk
assessment, it is considered important to establish a NOEL for
the serious reproductive effects seen in mink at dietary levels
approaching those found in certain locations.
b) Since HCB is persistent in soil and sediment, it would be
valuable to perform biodiversity experiments with HCB-treated
soil and sediment.
12.2 Human health
a) Based on the effects of low doses of HCB on ovarian tissues in
primates, involving disorders of germ cells and the ovarian
surface epithelium, the following is recommended:
(i) exposed populations should be studied for relevant
reproductive human outcomes of interest, particularly, fetal
loss and ovarian cancer;
(ii) reproductive tissues such as ovarian follicular fluid should
be included in human monitoring studies on HCB levels and/or
effects.
b) In order to decrease uncertainty in the risk assessment of HCB
and related compounds, research into the primary mechanism(s) of
action for tumorigenic, thyroid, reproductive, porphyrigenic,
neurotoxic and immunological effects of HCB should be undertaken.
c) Preliminary evidence suggests that HCB acts, at least in part,
through Ah receptor-linked mechanisms. This should be evaluated
more fully and compared to other polyhalogenated aromatic
chemicals for which a wealth of data are already available.
d) Given the toxicity of HCB and the few data for humans,
multicentre longitudinal studies of highly exposed human
populations should be undertaken. End-points of interest should
cover toxicokinetics (e.g., half-life), thyroid function,
porphyrin metabolism, reproductive outcomes (e.g., fetal losses),
and cancer. Nursing infants from these populations should be
followed to assess immunological and neurobehavioural
development.
13. PREVIOUS EVALUATIONS BY INTERNATIONAL BODIES
The International Agency for Research on Cancer has classified
HCB as a Group 2B carcinogen (possibly carcinogenic to humans) based
on inadequate evidence for carcinogenicity to humans and sufficient
evidence for carcinogenicity to animals (IARC, 1987).
A drinking-water guideline of 1 µg/litre was developed for HCB
based on an evaluation of the production of liver tumours in female
rats and applying the linearized multistage model to calculate an
excess life-time cancer risk of 10-5 (WHO, 1993).
A conditional acceptable daily intake of 0.6 µg HCB/kg body
weight was developed by the Joint FAO/WHO Joint Meeting on Pesticide
Residues in Food (FAO/WHO, 1975). This recommendation was withdrawn in
1978 (FAO/WHO, 1978).
Regulatory standards established by national bodies in different
countries and the European Union are summarized in the Legal File of
the International Register of Potentially Toxic Chemicals (IRPTC,
1993).
REFERENCES
Abbott DC, Collins GB, & Goulding R (1972) Organochlorine pesticide
residues in human fat in the United Kingdom 1969-71. Br Med J, 1>
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